Provider Demographics
NPI:1255367793
Name:CHOUDHARY, MADHU CHHANDA
Entity type:Individual
Prefix:
First Name:MADHU CHHANDA
Middle Name:
Last Name:CHOUDHARY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3520 5TH AVE STE 510
Mailing Address - Street 2:FALK CLINIC SUITE 700
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-3313
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3520 5TH AVE
Practice Address - Street 2:FALK CLINIC SUITE 700
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-3320
Practice Address - Country:US
Practice Address - Phone:412-383-2056
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA465517207RI0200X
NY002472207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02693429Medicaid
NY02693429Medicaid
NYP00274395Medicare PIN